How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $58.88 Median $63.10 Typical High $63.10 | Professional | None (both parts) | $58.88 | $63.10 | $63.10 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.95 Median $20.89 Typical High $22.39 | Professional | 26 · Professional part | $19.95 | $20.89 | $22.39 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $38.90 Median $41.69 Typical High $41.69 | Professional | TC · Technical part | $38.90 | $41.69 | $41.69 |
CareFirst Setting Professional Modifier None (both parts) Typical Low $21.88 Median $138.04 Typical High $162.18 | Professional | None (both parts) | $21.88 | $138.04 | $162.18 |
CareFirst Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $29.51 Typical High $40.74 | Professional | 26 · Professional part | $20.89 | $29.51 | $40.74 |
CareFirst Setting Professional Modifier TC · Technical part Typical Low $117.49 Median $158.49 Typical High $234.42 | Professional | TC · Technical part | $117.49 | $158.49 | $234.42 |
Cigna Setting Professional Modifier None (both parts) Typical Low $52.48 Median $58.88 Typical High $123.03 | Professional | None (both parts) | $52.48 | $58.88 | $123.03 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $17.78 Median $19.50 Typical High $39.81 | Professional | 26 · Professional part | $17.78 | $19.50 | $39.81 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $34.67 Median $39.81 Typical High $77.62 | Professional | TC · Technical part | $34.67 | $39.81 | $77.62 |
Kaiser Permanente Setting Professional Modifier None Typical Low $70.79 Median $79.43 Typical High $120.23 | Professional | None | $70.79 | $79.43 | $120.23 |
Kaiser Permanente Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $26.92 Typical High $39.81 | Professional | 26 · Professional part | $23.99 | $26.92 | $39.81 |
Kaiser Permanente Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $53.70 Typical High $79.43 | Professional | TC · Technical part | $45.71 | $53.70 | $79.43 |
United Setting Professional Modifier None (both parts) Typical Low $117.49 Median $141.25 Typical High $251.19 | Professional | None (both parts) | $117.49 | $141.25 | $251.19 |
United Setting Professional Modifier 26 · Professional part Typical Low $23.99 Median $30.90 Typical High $50.12 | Professional | 26 · Professional part | $23.99 | $30.90 | $50.12 |
United Setting Professional Modifier TC · Technical part Typical Low $95.50 Median $109.65 Typical High $199.53 | Professional | TC · Technical part | $95.50 | $109.65 | $199.53 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $112.20 Median $112.20 Typical High $112.20 | Professional | None (both parts) | $112.20 | $112.20 | $112.20 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $25.12 Median $36.31 Typical High $38.90 | Professional | 26 · Professional part | $25.12 | $36.31 | $38.90 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $31.62 Typical High $31.62 | Professional | 52 · Reduced service | $29.51 | $31.62 | $31.62 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $11.75 Median $12.59 Typical High $12.59 | Professional | 53 · Discontinued | $11.75 | $12.59 | $12.59 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $46.77 Median $48.98 Typical High $50.12 | Professional | FX · Film X-ray | $46.77 | $48.98 | $50.12 |
Where Maryland sits
The same service costs 6.6 times more in Nebraska than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maryland· 26th of 51
$126
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.